Abstract
Development and Evaluation of a Global Malnutrition Composite Score
Highlights
In the United States, national surveillance data from 2016 indicates that as many as 8% of hospitalized adults have a diagnosis of malnutrition.[2]
As part of the measure evaluation process, a technical expert panel had been convened to weigh in on the initial measure concepts from both a clinical and technical perspective regarding data feasibility. These electronic clinical quality measures (eCQMs) were subsequently piloted at a large hospital in the Midwest, and the testing results demonstrated that the measures were usable for identifying key improvement areas in malnutrition care related to identifying risk, assessing for clinical malnutrition, developing the appropriate care plan, and ensuring the diagnosis of malnutrition is documented to support follow up care.[8]
As determined by the empirical validity testing outlined in the Composite Measure Evaluation section below, each of the main components of this measure is strongly correlated with outcomes that have been empirically associated with malnutrition, including 30-day readmissions and hospital length of stay (LOS)
Summary
Q UALITY MEASURES PROLIFerated in the late 1990s and early 2000s and were first tied to financial performance incentives with the establishment of quality reporting programs for hospitals and physicians.[1] Quality measurement has since expanded to virtually all provider areas of health care in the United States. Despite this growth, one area where a major deficit persists has been nutrition care. This article outlines the process pursued by the Academy of Nutrition and Dietetics (Academy) and Avalere Health (Avalere) to develop the first of its kind electronically specified composite measure addressing malnutrition care for hospitalized adults
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